// What we do

One question, asked from three sides.

Foundations, governments and founders come to the same question from different directions: will this still work, and be owned locally, once the external support steps back? Our work helps each of them answer it early, while there is still time to change the design.

// Foundations

Make programmes last.

Your programme may be working. The harder question is whether it will keep working once your grant ends, and who will be responsible for it then. We help small and mid-sized foundations answer that early.

What we do

  • Programme and portfolio reviews. An independent look at whether your programmes are set up to continue: how they connect to national systems, who is expected to own them, and what is missing.
  • Alignment with national systems. Connecting programmes to national health information and digital systems, so data and tools do not end up running in parallel.
  • Ownership and handover planning. Agreeing with government and partners who will run what, with what budget and capacity, and when, starting in year one.

What you get: Clearer funding decisions, programmes designed for handover, and evidence of progress that co-funders and governments can trust.

Typical starting points: A programme approaching its final funding phase; a portfolio with several overlapping digital tools; a new grant you want to design for government ownership from the outset.

// Public sector

Strengthen national systems.

Ministries of health often manage many digital systems, introduced at different times and by different partners. Making them work together, and making sure the ministry can run them, matters more than adding another system.

What we do

  • Health information systems, interoperability and data exchange. Practical advice on how systems share data, which standards to adopt and how to sequence integration.
  • Implementation readiness and adoption. Assessing whether facilities, staff, processes and infrastructure are ready, and planning for real use in low-connectivity settings.
  • Institutional capacity and government handover. Clarifying roles, decision rights and skills, and preparing teams to take full responsibility for systems they inherit.

What you get: Systems that work together, are used every day, and are in your institution's hands.

Typical starting points: A national digital health strategy that needs an implementation path; partner-funded systems due for transfer; an interoperability programme that has stalled.

// Founders

Build to fit national systems.

The strongest digital health companies make national systems better rather than building around them. Getting that fit right early makes partnerships with ministries easier and investors more confident.

What we do

  • Standards and interoperability alignment. Understanding the national architecture, standards and approval routes your product must work with.
  • Product and partnership strategy. Positioning your product within national systems and identifying the institutional and commercial partners who matter.
  • Fundraising readiness. Sharpening your story for funders who ask how you will scale inside public systems, not alongside them.

What you get: A product that fits the national system, credible partnerships, and a stronger case for investment.

Typical starting points: A product heading into its first ministry pilot; an investor asking how it fits the national architecture.

Before, during and after.

We can help before you invest, while a programme is running, or as it approaches handover. Most engagements start with a short, clearly scoped piece of work.

Our approach →